Peter B a Pappas MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G74506 Issued in CA

Legal business name

PETER B A PAPPAS MD INC

Practice address

76 Brookwood Ave
Santa Rosa, CA 95404-4312

Phone

(707) 523-2381

Fax

(707) 523-2469

NPI assigned

Dec 13, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Sophie Pappas

Title

Manager

Phone

(415) 785-7019

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Bernard Albert Pappas, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Santa Rosa, CA
  • NPI 1003980566
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1659674653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BROOKWOOD AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044312",
            "telephone_number": "707-523-2381",
            "fax_number": "707-523-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BROOKWOOD AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044312",
            "telephone_number": "707-523-2381",
            "fax_number": "707-523-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER B A PAPPAS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "415-785-7019",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G74506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Madden Persinger, PH.D.
• Personal Hearing Solutions
• Christina Marie Pesce, LMFT
• Lisa Sara Pesce, N.P.
• Pet Care Veterinary Hospital, Inc.
• Peter Chang-Sing, MD
• Peter J Marincovich (Audiology Associates)
• Peter Sholley MFT
• Michael E Peters
• Timothy D. Peters, M.D.

• Specialist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.